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纳米技术在医疗保健中的应用,及其安全性和环境风险。

Nanotechnology in healthcare, and its safety and environmental risks.

机构信息

Division of Biomaterials and Tissue Engineering, Eastman Dental Institute, Royal Free Hospital, University College London, Rowland Hill Street, London, NW3 2PF, UK.

United InnoMed (Shanghai) Limited, F/2, E-1, No.299, Kangwei Rd, Pudong District, Shanghai, China.

出版信息

J Nanobiotechnology. 2024 Nov 15;22(1):715. doi: 10.1186/s12951-024-02901-x.

Abstract

Nanotechnology holds immense promise in revolutionising healthcare, offering unprecedented opportunities in diagnostics, drug delivery, cancer therapy, and combating infectious diseases. This review explores the multifaceted landscape of nanotechnology in healthcare while addressing the critical aspects of safety and environmental risks associated with its widespread application. Beginning with an introduction to the integration of nanotechnology in healthcare, we first delved into its categorisation and various materials employed, setting the stage for a comprehensive understanding of its potential. We then proceeded to elucidate the diverse healthcare applications of nanotechnology, spanning medical diagnostics, tissue engineering, targeted drug delivery, gene delivery, cancer therapy, and the development of antimicrobial agents. The discussion extended to the current situation surrounding the clinical translation and commercialisation of these cutting-edge technologies, focusing on the nanotechnology-based healthcare products that have been approved globally to date. We also discussed the safety considerations of nanomaterials, both in terms of human health and environmental impact. We presented the in vivo health risks associated with nanomaterial exposure, in relation with transport mechanisms, oxidative stress, and physical interactions. Moreover, we highlighted the environmental risks, acknowledging the potential implications on ecosystems and biodiversity. Lastly, we strived to offer insights into the current regulatory landscape governing nanotechnology in healthcare across different regions globally. By synthesising these diverse perspectives, we underscore the imperative of balancing innovation with safety and environmental stewardship, while charting a path forward for the responsible integration of nanotechnology in healthcare.

摘要

纳米技术在医疗保健领域具有巨大的应用潜力,为诊断、药物输送、癌症治疗和传染病防治等领域带来了前所未有的机遇。本综述探讨了纳米技术在医疗保健领域的多方面应用,同时还讨论了与纳米技术广泛应用相关的安全性和环境风险等关键问题。

本综述首先介绍了纳米技术在医疗保健领域的应用,然后深入探讨了纳米技术的分类和所使用的各种材料,为全面了解其潜在应用奠定了基础。接着,我们详细阐述了纳米技术在医疗诊断、组织工程、靶向药物输送、基因传递、癌症治疗和抗菌剂开发等多个领域的应用。此外,我们还讨论了这些前沿技术在临床转化和商业化方面的现状,重点介绍了全球范围内已获得批准的基于纳米技术的医疗产品。

我们还讨论了纳米材料的安全性问题,包括对人类健康和环境的影响。我们介绍了纳米材料暴露所带来的体内健康风险,以及与运输机制、氧化应激和物理相互作用相关的风险。此外,我们还强调了环境风险,认识到其对生态系统和生物多样性的潜在影响。最后,我们努力了解全球不同地区对医疗保健领域纳米技术的监管现状。通过综合这些不同的观点,我们强调了在创新与安全性和环境管理之间取得平衡的必要性,为纳米技术在医疗保健领域的负责任应用指明了方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/652e/11566612/632c600a06fe/12951_2024_2901_Fig1_HTML.jpg

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